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Quantifying demographic, urological and behavioral characteristics of children with lower urinary tract symptoms

Aileen P Schast1, Stephen A Zderic, Meg Richter

  • 1The Children's Hospital of Philadelphia, Division of Urology, Philadelphia, PA 19104, USA. schast@email.chop.edu

Journal of Pediatric Urology
|July 18, 2008
PubMed

Insights

This study analyzed voiding and behavioral issues in children at a specialty clinic. Incontinence significantly impacts child and family quality of life, with more severe issues linked to poorer outcomes.

Area of Science:

  • Pediatric Urology
  • Behavioral Pediatrics
  • Child Psychology

Background:

  • Children referred to specialty voiding clinics present complex voiding and behavioral issues.
  • Incontinence significantly affects the quality of life for both the child and their family.

Purpose of the Study:

  • To examine the voiding and behavioral characteristics of children referred to a specialty voiding clinic.
  • To assess the impact of incontinence on the child and family.

Main Methods:

  • 351 new patients (aged 5-17) completed questionnaires on demographics, medical history, voiding symptoms, school history, and quality of life.
  • Data collected prior to the first clinic appointment.

Main Results:

  • The patient cohort was predominantly female (53%) and Caucasian (70%), with a mean age of 9.5 years.
  • 25% of patients had a diagnosed mental or behavioral health problem.
  • Higher urological symptom scores correlated with younger age, minority status, mental health diagnosis, psychotropic medication use, and poorer quality of life. Families of children with 24-hour incontinence reported lower quality of life.

Conclusions:

  • Urological symptom severity is associated with incontinence type, social factors, and quality of life.
  • Baseline data collection is crucial for monitoring the progress of these complex pediatric patients.
Abstract

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